News | April 30, 2015

ACR Supports New Bipartisan House MPPR Repeal Bill

Radiology association advocates for enforcement of imaging appropriateness criteria over payment reductions

House, ACR, MPPR, repeal, H.R. 2043, Bibb Allen

April 30, 2015 — The American College of Radiology (ACR) announced its support for the Diagnostic Imaging Services Access Protection Act (H.R. 2043) which seeks to prospectively repeal the existing 25 percent Multiple Procedure Payment Reduction (MPPR) applied to Medicare reimbursement. The MPPR is applied for interpretation of advanced diagnostic imaging scans performed on the same patient, in the same session, on the same day.

H.R. 2043 was recently introduced into the United States House of Representatives by Reps. Pete Olson (R-TX), Peter Roskam (R-IL) and Betty McCollum (D-MN). This bipartisan legislation mirrors S.1020 introduced the week before by Sens. David Vitter (R-LA) and Ben Cardin (D-MD).

According to ACR, the Secretary of Health and Human Services (HHS) continues to ignore a mandate in the Protecting Access to Medicare Act (PAMA) of 2014 (Public Law 113-93) to release data claimed to support enactment of the initial Medicare professional component MPPR in 2012. The HHS Secretary has had over 12 months to comply with this request and, to date, still has not released the data.

“This Medicare cut affects care for the most sick or injured patients — including auto accident victims and those with stroke or widespread cancer — who often require interpretations by different doctors to recover. The Centers for Medicare & Medicaid Services (CMS) should not be slashing funding for care for the most vulnerable of Medicare patients. We thank Reps. Olson, Roskam and McCollum for trying to fix a problem that CMS never should have created,” said Bibb Allen Jr., M.D., FACR, chair of the American College of Radiology Board of Chancellors.

The MPPR implemented by the CMS has little to no impact on the number of scans ordered. Radiologists rarely order exams, but perform those ordered by other providers. A 2012 study shows that any efficiencies in physician interpretation and diagnosis when the same patient is provided multiple services on the same day are variable and, at most, one-tenth of what policy makers contend.

Imaging cuts are unnecessary and may cause more harm than good. Medicare imaging use and costs are down significantly since 2007. Medicare spending on scans today is the same as in 2003. Provisions to curb imaging volume were contained in the ACR-backed Protecting Access to Medicare Act of 2014 which, among other things, will require providers to consult appropriateness criteria when ordering advanced imaging scans for Medicare patients.

Such electronic health record-compatible ordering systems tell providers, in real time, whether the scan to be ordered is recommended by current medical guidelines — or whether no scan is warranted — without delaying care. The Institute for Clinical Systems Improvement and Partners Healthcare in Boston have shown that these clinical decision support tools significantly reduce unnecessary imaging and costs, while ensuring that patients get the right scan for their condition at the right time.

“Rather than employing arbitrary cuts inconsistent with resource-based reimbursement, the Centers for Medicare and Medicaid Services should focus on properly implementing the imaging appropriateness criteria policy enacted by Congress. This is a far better method of ensuring that only appropriate scans are performed without threatening access to care,” said Allen.

For more information:

Related Content

New U.S. Tariffs on Chinese Goods Include Imaging Equipment
News | Radiology Business | June 15, 2018 | Jeff Zagoudis, Associate Editor
The Office of the U.S. Trade Representative (USTR) released the much-anticipated list of Chinese-manufactured goods...
FDA Releases New Report Assessing Quality, Safety and Effectiveness of Medical Device Servicing
News | Radiology Business | June 07, 2018
A new report from the U.S. Food and Drug Administration (FDA) discusses the continued quality, safety and effectiveness...
It is critical to order the right kind of test or scan, and then get those images into a place in the system where they can be useful to the physician.

It is critical to order the right kind of test or scan, and then get those images into a place in the system where they can be useful to the physician.

Feature | Radiology Business | June 05, 2018 | By Emily Clemons
Value-based care and patient satisfaction are top priorities of radiologists across the field, from imaging technolog
FDA Issues Proposed Order to Reclassify Certain Radiological Medical Image Analyzers
News | Computer-Aided Detection Software | June 01, 2018
The U.S. Food and Drug Administration (FDA) is issuing a proposed order to reclassify certain radiological medical...
Geraldine McGinty Elected First Female Chair of American College of Radiology

Image courtesy of the American College of Radiology

News | Radiology Business | May 22, 2018
The American College of Radiology (ACR) Board of Chancellors has elected Geraldine McGinty, M.D., MBA, FACR, as chair....
Joint ACR-SIIM Summit to Examine Economics of AI in Healthcare
News | Artificial Intelligence | May 15, 2018
On May 30, 2018, the American College of Radiology (ACR) Data Science Institute (DSI) and the Society for Imaging...
ITN Wins Two 2018 National Azbee Awards for Editorial Excellence
News | Radiology Business | May 14, 2018
Imaging Technology News (ITN) was honored with a pair of National Bronze Azbee Awards for editorial excellence at the...
Patient-Centered Care in Radiology. In today’s world of flashy new features and complicated equipment, we must remember to stop and ask ourselves, “What is this doing for the patient?”

Image courtesy of Carestream.

Feature | Radiology Business | May 03, 2018 | By Jennifer Kemp, M.D., FACR
As a radiologist in today’s evolving global healthcare landscape, I’m grateful for the innovations in...
Charles E. Kahn Jr., M.D., M.S., will become editor of the new online journal, Radiology: Artificial Intelligence

Charles E. Kahn Jr., M.D., M.S.

News | Artificial Intelligence | May 02, 2018
The Board of Directors of the Radiological Society of North America (RSNA) announced that Charles E. Kahn Jr., M.D., M....
Esaote Change of Ownership Completed
News | Ultrasound Imaging | April 30, 2018
The acquisition of biomedical equipment company Esaote SpA’s share capital was completed on April 19, the company...
Overlay Init